A Randomized Controlled Trial on Wound Irrigation in Open Appendectomy.
NCT04332809 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 208
Last updated 2020-04-03
Summary
A large retrospective study compared wound irrigation with antiseptic solution, with antimicrobial agent, and with normal saline in patients undergoing open appendectomy and concluded an evident superiority of antibiotic wound irrigation over both normal saline and antiseptic solution.
The present trial aimed to assess the efficacy of layer-by-layer wound irrigation with gentamicin-saline solution versus saline solution in prevention of incisional SSI after open appendectomy for acute appendicitis. We postulated that irrigation of every layer of the surgical wound separately would help reduce the incidence of incisional SSI by eradication of bacterial contamination of each layer which may occur during delivery, manipulation, and removal of the inflamed appendix through the McBurney's incision.
Conditions
- Appendicitis
Interventions
- PROCEDURE
-
saline-gentamicin irrigation
Layer-by-layer irrigation of the appendectomy wound will be performed using saline-gentamicin solution
- PROCEDURE
-
saline irrigation
Layer-by-layer irrigation of the appendectomy wound will be performed using saline solution
Sponsors & Collaborators
-
Mansoura University
lead OTHER
Principal Investigators
-
Sameh H Emile, M.D. · Mansoura University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-01-01
- Primary Completion
- 2020-03-31
- Completion
- 2020-04-30
Countries
- Egypt
Study Locations
More Related Trials
-
Wound Healing After Emergency Appendicectomy
NCT00913445 ·Status: COMPLETED ·Phase: PHASE4
-
Surgical Site Infection in Perforated Appendicitis After Peritoneal Lavage With Super-oxidised Solution
NCT04512196 ·Status: COMPLETED ·Phase: NA
-
Effect of Skin Antisepsis After Skin Closure on Wound Infection After Abdominal Surgery for Sepsis: a Preliminary Report
NCT05896462 ·Status: COMPLETED ·Phase: NA
-
Peritoneal Closure Versus Non Closure During Open Appendectomy
NCT02803463 ·Status: COMPLETED ·Phase: NA
-
Use of Antibiotic Irrigation to Decrease Wound Infections in Pediatric Perforated Appendicitis
NCT04039750 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Cold Knife Versus Monopolar Electrosurgery in Abdominal Incisions
NCT04236401 ·Status: UNKNOWN ·Phase: NA
-
Clinical Evaluation of Adults Undergoing Elective Surgery Utilizing Intraoperative Incisional Wound Irrigation
NCT04548661 ·Status: COMPLETED ·Phase: NA
-
Interrupted vs Subcuticular Sutures With Drain in Open Appendectomy
NCT07274878 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Irrigation Versus Suction in Complicated Acute Appendicitis
NCT02688244 ·Status: UNKNOWN ·Phase: NA
-
Prophylaxis of Surgical Wound Infection With Topical Antibiotics
NCT04476212 ·Status: UNKNOWN ·Phase: NA
-
Abdominal Closure Bundle to Reduce Surgical Site Infection in Patients Undergoing C-sections. Cesarean Section Lead to Reduction in Surgical Site Infection? - A Randomized Controlled Trial
NCT03500055 ·Status: UNKNOWN ·Phase: NA
-
Complications After Appendectomy in Elderly
NCT06787573 ·Status: COMPLETED
-
Efficacy Study of Delayed Primary Closure to Reduce Rate of Wound Infection in Complicated Appendicitis
NCT01659983 ·Status: COMPLETED ·Phase: PHASE3
-
Are Double-ring Wound-edge Protectors Effective for Preventing Superficial Surgical Site Infection After Open Appendectomy?
NCT04860570 ·Status: RECRUITING
-
Evaluation of Aesthetic Surgical Wound Closure by a Single Layer in Comparison With Traditional Multi-layer Closure
NCT05166681 ·Status: COMPLETED ·Phase: PHASE3
-
Preventing Surgical Site Infection by Using Prophylactic Occlusive Ionic Silver-containing Dressing
NCT03380169 ·Status: UNKNOWN ·Phase: NA
-
Roles of Prophylactic Subcutaneous Drain in Preventing Surgical Site Infection in Surgical Wound After Abdominal Surgery
NCT06063629 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Non-operative vs. Operative Management of Acute Appendicitis in Vulnerable Patient Populations
NCT05724628 ·Status: WITHDRAWN ·Phase: PHASE1
-
Continuous Topical Instillation for Open Abdomen in the Septic Patients With Complicated Intra-abdominal Infections
NCT02029339 ·Status: COMPLETED ·Phase: NA
-
Topical Silver for Prevention of Wound Infection After Cesarean Delivery
NCT01169064 ·Status: TERMINATED ·Phase: NA
-
Dilute Povidone-iodine Irrigation vs No Irrigation for Children With Acute, Perforated Appendicitis
NCT02664220 ·Status: COMPLETED ·Phase: PHASE2
-
Investigation of Oxidative Stress in Appendectomy - Open Versus Laparoscopic in Childhood and Adolescence
NCT03723642 ·Status: UNKNOWN ·Phase: NA
-
Effect of Surgical Wound Infection on Health
NCT04134338 ·Status: UNKNOWN
-
Irrigation and Suction Trial to Prevent SSI
NCT05611944 ·Status: COMPLETED ·Phase: NA
-
Study on Laparoscopic Operation for Perforated Appendicitis
NCT00677989 ·Status: UNKNOWN